CAJ | 학술논문

目的：探讨宫腔镜治疗内生型剖宫产瘢痕妊娠（ cesarean scar pregnancy ，CSP）的临床应用价值。方法2012年4月～2014年10月，对34例内生型CSP采用宫腔镜手术治疗，其中7例行宫腔镜下清宫术，27例行子宫动脉栓塞后宫腔镜下清宫术，术后定期复查血β-hCG及B超。结果34例CSP均1次手术成功。手术时间（17．5±3．5） min，术中出血量（17．5±7．5）ml，总住院时间4～5 d，均未出现严重并发症，术后28天内血β-hCG均下降至正常，2个月内月经复潮。结论宫腔镜手术治疗CSP具有可视性好，出血少，操作简单，成功率高，术后并发症少，住院时间短等优点，值得在临床上推广。
목적：탐토궁강경치료내생형부궁산반흔임신（ cesarean scar pregnancy ，CSP）적림상응용개치。방법2012년4월～2014년10월，대34례내생형CSP채용궁강경수술치료，기중7례행궁강경하청궁술，27례행자궁동맥전새후궁강경하청궁술，술후정기복사혈β-hCG급B초。결과34례CSP균1차수술성공。수술시간（17．5±3．5） min，술중출혈량（17．5±7．5）ml，총주원시간4～5 d，균미출현엄중병발증，술후28천내혈β-hCG균하강지정상，2개월내월경복조。결론궁강경수술치료CSP구유가시성호，출혈소，조작간단，성공솔고，술후병발증소，주원시간단등우점，치득재림상상추엄。
Objective To investigate the applicative value of hysteroscopic surgery in the treatment of endogenous cesarean scar pregnancy ( CSP) . Methods A total of 34 patients with CSP in this hospital from April 2012 to October 2014 were treated by hysteroscopic surgery .Seven patients received uterine curettage under hysteroscopy and 27 patients got uterine artery embolization therapy before hysteroscopic surgery .All of them were regularly reviewed of β-hCG levels and ultrasound examinations . Results The surgical procedure was successfully completed in all the 34 cases.The operation time was (17.5 ±3.5) min, the intraoperative blood loss was (17.5 ±7.5) ml, and the hospitalization stay was 4-5 days.All of them had no serious complications .Their β-hCG levels were dropped to normal range within 28 days after operation , and all the patients had menstruation within 2 months after surgery . Conclusion Hysteroscopic surgery for CSP has advantages of good visibility , less bleeding, simple performance, high success rate, less postoperative complications , and shorter hospitalization time , being worthy of clinical utilization .